PREETI GUPTA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079818

License Status

CANCELLED

Business

Title

First Name

PREETI

Last Name

GUPTA

Business Name

PREETI GUPTA DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/31/2024